June 2015 VOL. 105 NO. 6 GUEST EDITORIAL

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423 June 2015, Vol. 105, No. 6 June 2015 VOL. 105 NO. 6

GUEST EDITORIAL 425 A good complaints system

G Howarth, J Tiernan, G Gillespie, P Carstens 427 EDITOR’S CHOICE

CORRESPONDENCE

429 Patient satisfaction with emergency departments Z Mahomed, L Wallis, F Motara

IZINDABA

430 Stellenbosch University: Africa’s first WHO Bioethics Collaborating Centre 431 Healthcare workers baulk at caring for contagious patients

432 Judge nudges dormant euthanasia draft law

434 The Fabricius decision on the Stransham-Ford case – an enlightened step in the right direction 435 Robotic computer system develops high-skill ‘technosurgeons’

SAMJ FORUM RECOMMENDATIONS

437 Management of pulmonary hypertension

M R Essop, N Galie, D B Badesch, U Lalloo, A G Mahomed, D P Naidoo, M Ntsekhe, P G Williams HEALTHCARE DELIVERY

440 Rural district hospitals – essential cogs in the district health system – and primary healthcare re-engineering

K W D P le Roux, I Couper CLINICAL ALERT

442 Encephalopathy after persistent vomiting: Three cases of non-alcohol-related Wernicke’s encephalopathy

K Antel, N Singh, B Chisholm, J M Heckmann CLINICAL PRACTICE

444 A bedside system for clinical grading of parotid gland enlargement*

M Tshifularo PERSONAL VIEW

446 Reflections of a retiree: 40 years in public service at Chris Hani Baragwanath Academic Hospital*

K R L Huddle EDITORIALS

451 Minimising the ‘cost’ of laparoscopic cholecystectomy S R Thomson, M D Smith

452 The management of burns begins at home D Wood

453 Paediatric dental sedation: Will your child return home unharmed?

B J S Diedericks RESEARCH

454 A cost analysis of operative repair of major laparoscopic bile duct injuries S Hofmeyr, J E J Krige, P C Bornman, S J Beningfield

457 Prehospital cooling of severe burns: Experience of the Emergency Department at Edendale Hospital, KwaZulu-Natal, South Africa

D Fiandeiro, J Govindsamy, R C Maharaj

461 Paediatric dental chair sedation: An audit of current practice in Gauteng, South Africa F Bham, H Perrie, J Scribante, C-A Lee

465 The South African Surgical Outcomes Study: A 7-day prospective observational cohort study*

B M Biccard, T E Madiba, on behalf of the South African Surgical Outcomes Study investigators

SAMJ

EDITOR-IN-CHIEF

Janet Seggie, BSc (Hons), MD (Birm), FRCP (Lond), FCP (SA)

DEPUTY EDITOR

Bridget Farham, BSc (Hons), PhD, MB ChB EDITORS EMERITUS

Daniel J Ncayiyana, MD (Groningen), FACOG, MD (Hon), FCM (Hon) JP de V van Niekerk, MD, FRCR ASSOCIATE EDITORS

Q Abdool Karim, A Dhai, N Khumalo, R C Pattinson, A Rothberg, A A Stulting, J Surka, B Taylor, M Blockman HMPG

CEO AND PUBLISHER

Hannah Kikaya | Email: hannah.kikaya@

hmpg.co.za MANAGING EDITOR Ingrid Nye TECHNICAL EDITORS Emma Buchanan Paula van der Bijl NEWS EDITOR

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Tshepiso Mokoena HMPG BOARD OF DIRECTORS Prof. M Lukhele (Chair), Dr M R Abbas, Dr M J Grootboom, Mrs H Kikaya, Adv. Y Lemmer, Prof. E L Mazwai, Dr M Mbokota, Mr G Steyn, Dr G Wolvaardt

Production and distribution services supplied and managed by Media Outsourcing, a wholly owned subsidiary of Cape Media Corporation. Tel. 021 681 7000 ISSN 0256-9574

Publisher website: www.hmpg.co.za SAMA website: www.samedical.org Journal website: www.samj.org.za

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424 June 2015, Vol. 105, No. 6

Hyenas and vultures view their next meal.

Photo: Susan Flegg

476 The impact of acute preoperative beta-blockade on perioperative cardiac morbidity and all-cause

mortality in hypertensive South African vascular surgery patients*

Y Moodley, B M Biccard

480 Granulomas at initial diagnosis of Crohn’s disease signal a poor outcome*

G Watermeyer, S R Thomson

484 Waiting times for prostate cancer diagnosis in KwaZulu-Natal, South Africa*

K Singh, E H Abdel Goad, S S Ramklass

487 The appropriateness of preoperative blood testing: A retrospective evaluation and cost analysis*

H E Buley, D Bishop, R Rodseth

491 Analysis of referrals and triage patterns in a South African metropolitan adult intensive care service*

K Gordon, N Allorto, R Wise

496 Outcomes of vitrectomy for advanced diabetic retinopathy at Groote Schuur Hospital, Cape Town, South Africa*

J C Rice, J Steffen

CONTINUING MEDICAL EDUCATION 500 Trauma care – the Eastern Cape story

J John, W Matshoba INTRODUCTION

501 Introduction to algorithms for managing the common trauma patient L Wallis

ALGORITHMS

502 Algorithms for managing the common trauma patient J John

*Full article available online only.

PULSE

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